Bansal, Manisha Makker

Bansal, Manisha Makker is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Bansal, Manisha Makker can be contacted via phone (904) 390-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 390-3600
Fax: (904) 390-3792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ME96890 Florida

Profile Details

NPI number 1639258486
LBN Legal business name Bansal, Manisha Makker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Mar 10th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639258486 NPPES
Georgia MEDICAID 844267787C
Georgia MEDICAID 276486500

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